scholarly journals HIV serodiscordant and nondisclosure rates among married women living with HIV in a Southern Nigerian region

2021 ◽  
Vol 5 ◽  
pp. 53-60
Author(s):  
Ubong Bassey Akpan ◽  
Kazeem Arogundade ◽  
Ezukwa Omoronyia ◽  
Atim Udo ◽  
Mabel Ekott ◽  
...  
Keyword(s):  
Married Women ◽  
Hiv Care ◽  
Hiv Positive ◽  
Hiv Status ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Women Living With Hiv ◽  
Hiv Status Disclosure ◽  
Status Disclosure

Objectives: Intimate sexual partners’ disclosure of HIV positive status is vital in the control of HIV/AIDS pandemic globally. The disclosure rates vary from region to region. The aim of this study was to document the prevalence of HIV serodiscordance and partners disclosure rate; and also determine the associated factors among HIV positive married women living in Calabar region of Nigeria. Material and Methods: A cross-sectional survey was conducted among 260 married women, 18 years and above, receiving HIV care at various health institutions in the region. Data were analyzed using SPSS VERSION 23. Their demographic and health profile were presented in simple proportion and percentages while Chi-square test and logistic regression were used to determine the factors influencing patient’s HIV status disclosure with the level of significance set at 0.05. Results: A total of 254 compiled questionnaires were included in the analysis (response rate-97.7%). The serodiscordant rate was 50%. HIV status disclosure to partner was high, 89.4%. The main determinants of HIV status disclosure were good level of education (AOR = 2.2, 95% CI: = 1.75–2.53, P = 0.007) and long duration of ART use (AOR = 3.23, 95% CI = 2.78–4.15, P = 0.001) while women with high discordant rate were more likely to be divorced/separated (P = 0.012, OR = 1.67). Conclusion: Female education is an important factor in HIV control. Disclosure of HIV status is beneficial to the partner as it promotes safe sex practices and increases adherence to ART.

scholarly journals Study of Depression and Its Associated Factors among Women Living with HIV/AIDS in Coastal South India

ISRN AIDS ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
B. Unnikrishnan ◽  
Vinita Jagannath ◽  
John T. Ramapuram ◽  
B. Achappa ◽  
D. Madi
Keyword(s):  
Rural Women ◽  
South India ◽  
Hiv Care ◽  
Hiv Positive ◽  
Chi Square ◽  
Cross Sectional ◽  
Women Living With Hiv ◽  
Hiv Positive Women ◽  
Living With Hiv ◽  
Hiv Aids

Background. Depression is one of the most prevalent psychiatric diagnoses seen in HIV-positive individuals. Women with HIV are about four times more likely to be depressed than those who are not infected. Aims. To assess the sociodemographic and clinical correlates of depression among women living with HIV/AIDS. Setting and Design. One public and one private hospital in Mangalore, Coastal South India, and cross-sectional design. Methods and Materials. Study constituted of 137 HIV-positive women, depression was assessed using BDI (Beck Depression Inventory), and social support was assessed using Lubben Social Network Scale. Statistical Analysis. All analysis was conducted using SPSS version 11.5. Chi-square test with value less than 0.05 was taken as statistically significant. Results. Among 137 HIV-positive women, 51.1% were depressed. Around 16% were having moderate to high risk for isolation. Depression was statistically significant in rural women, widowed women, and lower socioeconomic class women. Conclusion. Depression is highly prevalent among women living with HIV which is still underdiagnosed and undertreated, and there is a need to incorporate mental health services as an integral component of HIV care.

scholarly journals Understanding the determinants and consequences of HIV status disclosure in Manicaland, Zimbabwe: cross-sectional and prospective analyses

AIDS Care ◽  
2021 ◽  
pp. 1-18
Author(s):  
Theodora Goodwin ◽  
Simon Gregson ◽  
Rufurwokuda Maswera ◽  
Louisa Moorhouse ◽  
Constance Nyamukapa
Keyword(s):  
Hiv Status ◽  
Cross Sectional ◽  
Hiv Status Disclosure ◽  
Status Disclosure ◽  
Prospective Analyses

scholarly journals Facilitators and Barriers to HIV Status Disclosure Among HIV-Positive MSM Age 50 and Older

2015 ◽  
Vol 20 (1) ◽  
pp. 41-56 ◽  
Author(s):  
Molly J. Kingdon ◽  
Staci Barton ◽  
Jessica Eddy ◽  
Perry N. Halkitis
Keyword(s):  
Hiv Positive ◽  
Hiv Status ◽  
Facilitators And Barriers ◽  
Hiv Status Disclosure ◽  
Status Disclosure

scholarly journals Integrated care experiences and out-of-pocket expenditures: a cross-sectional survey of adults receiving treatment for HIV and hypertension in Malawi

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e032652
Author(s):  
Corrina Moucheraud ◽  
Matthew Hing ◽  
Juliet Seleman ◽  
Khumbo Phiri ◽  
Florence Chibwana ◽  
...  
Keyword(s):  
Integrated Care ◽  
Antihypertensive Medication ◽  
Cost Of Care ◽  
Hiv Care ◽  
Hiv Positive ◽  
Care Seeking ◽  
Cross Sectional Survey ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Medication Costs

ObjectivesAs HIV-positive individuals’ life expectancy extends, there is an urgent need to manage other chronic conditions during HIV care. We assessed the care-seeking experiences and costs of adults receiving treatment for both HIV and hypertension in Malawi.Design, setting and participantsA cross-sectional survey was conducted with HIV-positive adults with hypertension at a health facility in Lilongwe that offers free HIV care and free hypertension screening, with antihypertensives available for purchase (n=199). Questions included locations and costs of all medication refills and preferences for these refill locations. Respondents were classified as using ‘integrated care’ if they refilled HIV and antihypertensive medications simultaneously. Data were collected between June and December 2017.ResultsOnly half of respondents reported using the integrated care offered at the study site. Among individuals using different locations for antihypertensive medication refills, the most frequent locations were drug stores and public sector health facilities which were commonly selected due to greater convenience and lower medication costs. Although the number of antihypertensive medications was equivalent between the integrated and non-integrated care groups, the annual total cost of care differed substantially (approximately US$21 in integrated care vs US$90 for non-integrated care)—mainly attributable to differences in other visit costs for non-integrated care (transportation, lost wages, childcare). One-third of those in the non-integrated care group reported no expenditure for antihypertensive medication, and six people in each group reported no annual hypertension care-seeking costs at all.ConclusionsIndividuals using integrated care saw efficiencies because, although they were more likely to pay for antihypertensive medications, they did not incur additional costs. These results suggest that preferences and experiences must be better understood to design effective policies and programmes for integrated care among adults on antiretroviral therapy.

scholarly journals Sero-positive HIV result disclosure to sexual partner in Ethiopia: a systematic review and meta-analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Fantahun Ayenew Mekonnen ◽  
Ayenew Molla Lakew ◽  
Kindie Fentahun Muchie ◽  
Destaw Fetene Teshome
Keyword(s):  
Systematic Review ◽  
Positive Result ◽  
Sexual Partner ◽  
Meta Analysis ◽  
Outcome Variable ◽  
Hiv Positive ◽  
Hiv Status ◽  
Previous Discussion ◽  
Hiv Status Disclosure ◽  
Status Disclosure

Abstract Background The infection of HIV continues to be an important public health problem in Ethiopia. Disclosing own HIV positive result is crucial, and considered as a good indicator of behavior change towards HIV/AIDs. A systematic review and meta-analysis was conducted to pool the prevalence of positive HIV status disclosure to sexual partners and determine the influence of selected factors. Methods This systematic review and meta-analysis was conducted in Ethiopia among HIV positive people receiving health care at health facilities. In this review, primary studies were searched in Medline via PubMed, Google scholar and Google up to November, 2018. Data on disclosure of HIV positive result, knowledge of partner’s HIV status and prior discussion on HIV were extracted, and effect sizes like proportion and odds ratios were pooled. Heterogeneity and publication bias were assessed by chi-square and I2, and Egger test, respectively. Results A total of 12 studies with 4528 participants were included in to this review to estimate the prevalence of disclosure of HIV positive result to sexual partner, and 10 and 7 studies were included to determine the associations of the outcome variable with knowledge of sexual partner’s HIV status and with prior discussion on HIV, respectively. The pooled prevalence of HIV status disclosure to sexual partner was 73% (95% CI: 64, 82%). Having the knowledge of sexual partner’s HIV status [OR: 95%CI; 17.63 (7.88, 39.45)], and previous discussion on HIV [OR: 95% CI; 9.24 (5.56, 15.37)] increased the disclosure of own HIV positive result to sexual partner. The sub-group analysis indicated a prevalence of 74% in Oromia, 86% in Southern Nations Nationalities and Peoples (SNNPR), 87% in Amhara, 73% in Addis Ababa, and 54% in Tigray. Conclusions Disclosure of HIV status to sexual partner is lower than expected. Knowledge of partner’s HIV status and previous discussion on HIV were strong predictors of HIV positive status disclosure. Strategies helpful for encouraging open HIV discussion need to be strengthened to increase HIV positive result disclosure. Furthermore, since the heterogeneity of studies is high, large nationally representative study is suggested.

scholarly journals Pattern and Determinants of Antiretroviral Drug Adherence among Nigerian Pregnant Women

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
S. O. Ekama ◽  
E. C. Herbertson ◽  
E. J. Addeh ◽  
C. V. Gab-Okafor ◽  
D. I. Onwujekwe ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Antiretroviral Drugs ◽  
Bivariate Analysis ◽  
Drug Adherence ◽  
Hiv Status ◽  
Good Adherence ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Hiv Status Disclosure ◽  
Status Disclosure

Background. The need for a high level of adherence to antiretroviral drugs has remained a major hurdle to achieving maximal benefit from its use in pregnancy. This study was designed to determine the level of adherence and identify factors that influence adherence during pregnancy.Method. This is a cross-sectional study utilizing a semistructured questionnaire. Bivariate and multiple logistic regression models were used to determine factors independently associated with good drug adherence during pregnancy.Result. 137 (80.6%) of the interviewed 170 women achieved adherence level of ≥95% using 3 day recall. The desire to protect the unborn child was the greatest motivation (51.8%) for good adherence. Fear of being identified as HIV positive (63.6%) was the most common reason for nonadherence. Marital status, disclosure of HIV status, good knowledge of ART, and having a treatment supporter were found to be significantly associated with good adherence at bivariate analysis. However, after controlling for confounders, only HIV status disclosure and having a treatment partner retained their association with good adherence.Conclusion. Disclosure of HIV status and having treatment support are associated with good adherence. Maternal desire to protect the child was the greatest motivator for adherence.

scholarly journals Contraceptive Use and Associated Factors among Women Enrolling into HIV Care in Southwestern Uganda

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Winnie Muyindike ◽  
Robin Fatch ◽  
Rachel Steinfield ◽  
Lynn T. Matthews ◽  
Nicholas Musinguzi ◽  
...  
Keyword(s):  
Hiv Transmission ◽  
Contraceptive Use ◽  
Multivariable Analysis ◽  
Hiv Care ◽  
Hiv Status ◽  
Unintended Pregnancies ◽  
Hiv Status Disclosure ◽  
Few Data ◽  
Status Disclosure ◽  
Southwestern Uganda

Background. Preventing unintended pregnancies among women living with HIV is an important component of prevention of mother-to-child HIV transmission (PMTCT), yet few data exist on contraceptive use among women entering HIV care.Methods. This was a retrospective study of electronic medical records from the initial HIV clinic visits of 826 sexually active, nonpregnant, 18–49-year old women in southwestern Uganda in 2009. We examined whether contraceptive use was associated with HIV status disclosure to one’s spouse.Results. The proportion reporting use of contraception was 27.8%. The most common method used was injectable hormones (51.7%), followed by condoms (29.6%), and oral contraceptives (8.7%). In multivariable analysis, the odds of contraceptive use were significantly higher among women reporting secondary education, higher income, three or more children, and younger age. There were no significant independent associations between contraceptive use and HIV status disclosure to spouse.Discussion. Contraceptive use among HIV-positive females enrolling into HIV care in southwestern Uganda was low. Our results suggest that increased emphasis should be given to increase the contraception uptake for all women especially those with lower education and income. HIV clinics may be prime sites for contraception education and service delivery integration.

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